NURS 6550: Week 4: Conditions of the Cardiovascular System Essay Assignment Paper

After the initial recovery, patients like Cole often struggle to adhere to treatment plans. However, by collaborating with patients and developing regimes that consider their lifestyle needs, you can help improve health outcomes for patients with cardiovascular conditions.

This week, as you explore the etiology and clinical presentations of cardiovascular conditions in acute care settings, you will examine strategies for assessing, diagnosing, and treating patients with cardiovascular conditions.

Learning Objectives

By the end of this week, students will:

• Evaluate patients with cardiovascular conditions
• Develop differential diagnoses for patients with cardiovascular conditions
• Develop treatment plans for patients with cardiovascular conditions

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.

• Section 6, “Cardiovascular Procedures”
  • Chapter 89, “Doppler Technique”
  • Chapter 90, “Electrocardiogram (ECG) Interpretation”
  • Chapter 91, “Electrocardiogram (ECG) Lead Placement”
  • Chapter 92, “Holter Monitor Application: Continuous 24-Hour Ambulatory Cardiac Monitoring”
  • Chapter 93, “Stress Testing”
  • Chapter 96, “Blood Culture Specimen Collection”
  • Chapter 97, “Capillary Blood Collection: Heel/Finger Stick”
  • Chapter 99, Defibrillation: Unna’s Boot Application”
  • Chapter 100, “Venipuncture”

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill.

• Chapter 10, “Heart Disease” (pp. 328-446)
• Chapter 11, “Systemic Hypertension” (pp. 447-478)
• Chapter 12, “Blood Vessel & Lymphatic Disorders” (pp. 479-506)
• Chapter 28, “Lipid Disorders” (pp. 1269-1277)

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.

• Chapter 6, “Chest” (pp. 125–149)

JNC 9 Hypertension Guidelines Retrieved from https://www.acc.org/~/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/Guidelines/2017/Guidelines_Made_Simple_2017_HBP.pdf

Anticoagulation – CHEST guideline for Antithrombic Therapy (2016) Retrieved from https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2016/03/02/15/45/antithrombotic-therapy-for-vte-disease

Agency for Healthcare Research and Quality. (2012). Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). Retrieved from https://guideline.gov/summaries/summary/39320/diagnosis-and-treatment-of-chest-pain-and-acute-coronary-syndrome-acs?q=ectopy+intensive+care

Aljundi, A. S., Mohammed, S. K., Patel, A., Singh, R., Arabi, A., AlBinali, H. A., & … Al Suwaidi, J. (2016). Inotropic agents use in patients hospitalized with acute decompensated heart failure: a retrospective analysis from a 22-year registry in a Middle-Eastern Country (1991-2013). BMC Cardiovascular Disorders.161-8. doi:10.1186/s12872-016-0223-5.

American Heart Association. (2013). Hypertrophic cardiomyopathy. Retrieved from http://www.heart.org/HEARTORG/Conditions/More/Cardiomyopathy/Hypertrophic-Cardiomyopathy_UCM_444317_Article.jsp

Duvvuir, P., & Moghekar, A. (2014). Bedside applications of ultrasound. Retrieved from http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/pulmonary/bedside-applications-of-ultrasound/

Harder, S., & Graff, J. (2013). Novel oral anticoagulants: clinical pharmacology, indications and practical considerations. European Journal Of Clinical Pharmacology 69(9), 1617-1633. doi:10.1007/s00228-013-1510-z

Mebazaa, A., Tolppanen, H., Mueller, C., Lassus, J., DiSomma, S., Baksyte, G., & … Thiele, H. (2016). Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Medicine, 42(2), 147-163. doi:10.1007/s00134-015-4041-5

Panchmatia, S. (2009). Nitrates: uses, actions and prescribing rationale. Nurse Prescribing, 7(9), 404-409.

Roush, G. C., Kaur, R., & Ernst, M. E. (2014). Diuretics: a review and update. Journal Of Cardiovascular Pharmacology And Therapeutics, 19(1), 5-13. doi:10.1177/1074248413497257

SkillStat Learning Inc. (2014). The 6 second ECG. Retrieved from http://www.skillstat.com/tools/ecg-simulator#/-home

Stöllberger, C., & Finsterer, J. (2013). Concerns About the Use of New Oral Anticoagulants for Stroke Prevention in Elderly Patients with Atrial Fibrillation. Drugs & Aging, 30(12), 5-13. 949-958. doi:10.1007/s40266-013-0119-3

University of Virginia. (2013g). Interpretation of the ICU chest radiograph. Retrieved from http://www.med-ed.virginia.edu/courses/rad/chest/index.html

University of Virginia. (2013j). Introduction to conventional cardiac radiography. Retrieved from http://www.med-ed.virginia.edu/courses/rad/cardiacplain/

Wright, P., & Antoniou, S. (2013). Acute coronary syndrome: potent oral antiplatelets. Nurse Prescribing, 11(8), 397-400.

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Optional Resources

Dubin, D. (2000). Personal quick reference sheets. In Rapid interpretation of EKG’s (pp. 333–346). Tampa, FL: Cover Publishing Co. Retrieved from http://tmedweb.tulane.edu/portal/files/open-access/clinical-diagnosis/ekg_reference_sheets.pdf

Barkley, T & Myers, C. (2015). Practice Considerations for Adult-Gerontology Acute Care Nurse Practitioners, Volumes 1 and 2 West Hollywood,, Ca: Barkley and Associates, Inc.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

Yale University. (1999a). Atlas of echocardiography: Coronal section through chest.

Yale University. (1999b). Atlas of echocardiography: Left parasternal long axis view.

Yale University. (1999c). Atlas of echocardiography: Normal function.

Yale University. (1999d). Atlas of echocardiography: Radiography of the heart.

Assignment 1: Assessing, Diagnosing, and Treating Conditions of the Cardiovascular System

Cardiovascular conditions are among the leading causes of hospitalization, and they are of particular importance because they often require immediate medical responses. This makes it essential that you not only be able to identify quickly signs and symptoms of these conditions but also be fluent in current evidence-based treatment guidelines. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with cardiovascular conditions

To prepare:

• Review this week’s Learning Resources. Consider how to assess, diagnose, and treat conditions of the cardiovascular system.
• Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from each patient
• Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
• Identify three to five possible conditions to consider in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.

By Day 7

This Assignment is due.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover the following topics:

• Cardiovascular System

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the board Vitals questions.